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https://www.readbyqxmd.com/read/28932339/penetrating-keratoplasty-for-keratoconus-excimer-versus-femtosecond-laser-trephination
#1
Berthold Seitz, Achim Langenbucher, Tobias Hager, Edgar Janunts, Moatasem El-Husseiny, Nora Szentmáry
BACKGROUND: In case of keratoconus, rigid gas-permeable contact lenses as the correction method of first choice allow for a good visual acuity for quite some time. In a severe stage of the disease with major cone-shaped protrusion of the cornea, even specially designed keratoconus contact lenses are no more tolerated. In case of existing contraindications for intrastromal ring segments, corneal transplantation typically has a very good prognosis. METHODS: In case of advanced keratoconus - especially after corneal hydrops due to rupture of Descemet's membrane - penetrating keratoplasty (PKP) still is the surgical method of first choice...
2017: Open Ophthalmology Journal
https://www.readbyqxmd.com/read/28928982/corneal-spherical-aberration-and-corneal-asphericity-after-small-incision-lenticule-extraction-and-femtosecond-laser-assisted-lasik
#2
Hui Zhang, Yan Wang, Hua Li
PURPOSE: To investigate corneal spherical aberration and corneal asphericity after small incision lenticule extraction (SMILE) and femtosecond laser-assisted laser in situ keratomileusis (FS-LASIK). METHODS: This study enrolled 70 patients having SMILE and 64 subjects receiving FS-LASIK. The preoperative spherical equivalent (SE) was -5.83 ± 1.23 diopters (D) and -6.20 ± 1.52 D, respectively. The uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), SE, corneal spherical aberration, and asphericity over the 6...
2017: Journal of Ophthalmology
https://www.readbyqxmd.com/read/28917415/bilateral-corneal-epithelial-macrocysts-following-hyperopic-laser-in-situ-keratomileusis
#3
Mahmoud O Jaroudi, Carole G Cherfan, Shady T Awwad
A 27-year-old woman had microkeratome-assisted laser in situ keratomileusis (LASIK) for moderate bilateral hyperopia. The preoperative ophthalmologic examination was unremarkable except for minimal lissamine green staining bilaterally on the nasal conjunctiva. On the first postoperative day, the uncorrected distance visual acuity (UDVA) was 20/20 bilaterally and the corneas were clear. Four days later, the patient presented with mild blur in both eyes. Examination showed diffuse bilateral epithelial cysts encompassing the central 6...
August 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28913504/a-review-and-meta-analysis-of-corneal-cross-linking-for-post-laser-vision-correction-ectasia
#4
REVIEW
Qi Wan, Dan Wang, HongQuan Ye, Jing Tang, Yu Han
PURPOSE: The aim of this study was to review the safety and stability of cornea cross-linking (CXL) for the treatment of keratectasia after Excimer Laser Refractive Surgery. METHODS: Eligible studies were identified by systematically searching PubMed, Embase, Web of Science and reference lists. Meta-analysis was performed using Stata 12.1 software. The primary outcome parameters included the changes of corrected distant visual acuity (CDVA), uncorrected visual acuity (UCVA), the maximum keratometry value (Kmax) and minimum keratometry value (Kmin), the surface regularity index (SRI), the surface asymmetry index (SAI), the keratoconus prediction index (KPI), corneal thickness, and endothelial cell count...
September 2017: Journal of Current Ophthalmology
https://www.readbyqxmd.com/read/28912848/changes-in-the-anterior-cornea-during-the-early-stages-of-severe-myopia-prior-to-and-following-lasik-as-detected-by-confocal-microscopy
#5
Jinrong Zhao, Jinguo Yu, Liu Υang, Yang Liu, Shaozhen Zhao
The present study aimed to assess the microscopic changes of the epithelium and Bowman's layer under confocal microscopy during the early stages of severe myopia following laser in situ keratomileusis (LASIK). The study comprised 54 patients (54 eyes) with severe myopia and 65 patients (65 eyes) with low and moderate myopia, who underwent LASIK surgery at Tianjin Medical University Eye Hospital (Tianjin, China). In all patients, the epithelium, Bowman's layer and anterior stroma were examined prior to and 1, 7, 30, 90 and 180 days after the surgery, using in vivo confocal microscopy...
October 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/28905820/recent-advances-in-corneal-collagen-cross-linking
#6
REVIEW
Gitansha Shreyas Sachdev, Mahipal Sachdev
Corneal collagen cross-linking has become the preferred modality of treatment for corneal ectasia since its inception in late 1990s. Numerous studies have demonstrated the safety and efficacy of the conventional protocol. Our understanding of the cross-linking process is ever evolving, with its wide implications in the form of accelerated and pulsed protocols. Newer advancements in technology include various riboflavin formulations and the ability to deliver higher fluence protocols with customised irradiation patterns...
September 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/28880340/topography-guided-photorefractive-keratectomy-in-the-treatment-of-corneal-scarring
#7
Nir Sorkin, Adi Einan-Lifshitz, Tanguy Boutin, Mahmood Showail, Armand Borovik, Clara C Chan, David S Rootman
PURPOSE: To report the outcome of topography-guided photorefractive keratectomy (TG-PRK) in the treatment of patients with corneal scarring. METHODS: A retrospective, interventional case series including 6 eyes of 6 patients with corneal scarring and irregular astigmatism who underwent TG-PRK. The etiologies for scarring were: infectious corneal ulcers, foreign body trauma, LASIK flap buttonhole, and lamellar keratoplasties performed to correct corneal perforation secondary to corneal melting...
September 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28880334/a-multicenter-retrospective-survey-of-refractive-surgery-in-78-248-eyes
#8
Kazutaka Kamiya, Akihito Igarashi, Ken Hayashi, Kazuno Negishi, Masaki Sato, Hiroko Bissen-Miyajima
PURPOSE: To retrospectively evaluate the current practice, trends, and outcomes of refractive surgery in Japan. METHODS: This multicenter survey comprised 78,248 eyes of 39,727 consecutive patients who underwent refractive surgery at 45 major institutions in Japan. The corresponding ophthalmologists responded to a selfadministered questionnaire. The authors especially evaluated the safety, efficacy, predictability, stability, and adverse events of LASIK and phakic intraocular lens (IOL) implantation 3 months postoperatively...
September 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28880333/predicting-refractive-surgery-outcome-machine-learning-approach-with-big-data
#9
Asaf Achiron, Zvi Gur, Uri Aviv, Assaf Hilely, Michael Mimouni, Lily Karmona, Lior Rokach, Igor Kaiserman
PURPOSE: To develop a decision forest for prediction of laser refractive surgery outcome. METHODS: Data from consecutive cases of patients who underwent LASIK or photorefractive surgeries during a 12-year period in a single center were assembled into a single dataset. Training of machine-learning classifiers and testing were performed with a statistical classifier algorithm. The decision forest was created by feature vectors extracted from 17,592 cases and 38 clinical parameters for each patient...
September 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28880332/a-technique-to-reduce-incidence-of-opaque-bubble-layer-formation-during-lasik-flap-creation-using-the-visumax-femtosecond-laser
#10
Ningling Wu, Joseph G Christenbury, Jon G Dishler, Tahir Kansu Bozkurt, Daniel Duel, Lijun Zhang, D Rex Hamilton
PURPOSE: To identify risk factors for opaque bubble layer (OBL) formation and compare the incidence of OBL using a cone modification technique versus the original technique for LASIK flap creation using the VisuMax laser (Carl Zeiss Meditec, Jena, Germany). METHODS: This retrospective study examined videos of flap creation using the VisuMax laser to identify OBL occurrence. Eyes were divided into three groups: eyes where OBL occurred using the original technique (OBL group), eyes where OBL did not occur using the original technique (no OBL group), and eyes in which the cone modification technique was used for LASIK flap creation (larger flap diameter) (cone modification technique group)...
September 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28876968/corneal-collagen-cross-linking-complications
#11
Charisma B Evangelista, Kathryn M Hatch
Corneal cross-linking was approved by United States Food and Drug Administration for the treatment of progressive keratoconus in April 2016. As this approach becomes more widely used for the treatment of keratoconus and post-laser in situ keratomileusis (LASIK) ectasia, the medical community is becoming more familiar with potential complications associated with this procedure. This article aims to review the reported complications of collagen cross-linking for the treatment of keratoconus and post-LASIK ectasia...
September 6, 2017: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/28875960/analysis-of-macular-and-retinal-nerve-fiber-layer-thickness-in-children-with-refractory-amblyopia-after-femtosecond-laser-assisted-laser-in-situ-keratomileusis-a-retrospective-study
#12
Peng-Fei Zhao, Yue-Hua Zhou, Jing Zhang, Wen-Bin Wei
Background: Localized macular edema and retinal nerve fiber layer (RNFL) thinning have been reported shortly after laser in situ keratomileusis (LASIK) in adults. However, it is still unclear how LASIK affects the retina of children. This study aimed to investigate the macular retina and RNFL thickness in children with refractive amblyopia who underwent femtosecond laser-assisted LASIK (FS-LASIK). Methods: In this study, we included 56 eyes of 32 patients with refractive amblyopia who underwent FS-LASIK in our hospital from January 2012 to December 2016...
September 20, 2017: Chinese Medical Journal
https://www.readbyqxmd.com/read/28875250/effect-of-iris-registration-on-outcomes-of-femtolasik-for-myopia-and-myopic-astigmatism
#13
Mohammad Ghoreishi, Zahra Naderi Beni, Afsaneh Naderi Beni, Farzan Kianersi
PURPOSE: To compare the visual and refractive outcomes after FEMTOLASIK with and without iris registration. METHODS: In this randomized, prospective, comparative, contralateral eye study, 118 eyes of 59 patients with myopia and myopic astigmatism underwent LASIK using the Femto LDV femtosecond laser (160 µm) and the MEL80 with or without iris registration. For each patient, iris registration FEMTOLASIK was performed on one eye and non-iris registration FEMTOLASIK was performed on the other eye, assigned at random...
September 5, 2017: International Ophthalmology
https://www.readbyqxmd.com/read/28866013/contrasting-cellular-damage-after-blue-iris-and-femto-lasik-in-cat-cornea
#14
Kaitlin T Wozniak, Noah Elkins, Daniel R Brooks, Daniel E Savage, Scott MacRae, Jonathan D Ellis, Wayne H Knox, Krystel R Huxlin
Blue-intra-tissue refractive index shaping (Blue-IRIS) is a new approach to laser refractive correction of optical aberrations in the eye, which alters the refractive index of the cornea rather than changing its shape. Before it can be implemented in humans, it is critical to establish whether and to what extent, Blue-IRIS damages the cornea. Here, we contrasted the impact of -1.5 D cylinder refractive corrections inscribed using either Blue-IRIS or femtosecond laser in-situ keratomileusis (femto-LASIK) on corneal cell viability...
August 31, 2017: Experimental Eye Research
https://www.readbyqxmd.com/read/28860701/accuracy-of-alcon-wavelight-%C3%A2-ex500-optical-pachymetry-during-lasik
#15
Mark D Mifflin, Xavier M Mortensen, Brent S Betts, Cole Gross, Brian Zaugg
PURPOSE: To study the accuracy and reliability of optical pachymetry using the Alcon WaveLight EX500 during laser-assisted in situ keratomileusis (LASIK). MATERIALS AND METHODS: This was a retrospective chart review of 90 eyes from 45 patients who had undergone LASIK (mean age 35.2±8.2 years; 19 males, 26 females). The WaveLight FS200 femtosecond laser was programmed to cut LASIK flaps at a desired depth of 120 μm. Optical low-coherence reflectometry (WaveLight EX500) was used to measure central corneal thickness prior to lifting the flap, and the residual stromal bed immediately after excimer ablation...
2017: Clinical Ophthalmology
https://www.readbyqxmd.com/read/28815089/risk-assessment-for-corneal-ectasia-following-photorefractive-keratectomy
#16
Nir Sorkin, Igor Kaiserman, Yuval Domniz, Tzahi Sela, Gur Munzer, David Varssano
PURPOSE: To analyze the risk factors associated with a series of ectasia cases following photorefractive keratectomy (PRK) and all published cases. METHODS: In a retrospective study on post-PRK ectasia patients, 9 eyes of 7 patients were included, in addition to 20 eyes of 13 patients from the literature. Risk of post-PRK ectasia was calculated using the ectasia risk score system (ERSS) for laser in situ keratomileusis (LASIK) patients. The percent tissue altered (PTA) was also evaluated...
2017: Journal of Ophthalmology
https://www.readbyqxmd.com/read/28810283/-comparison-of-discriminant-analysis-and-decision-trees-for-the-detection-of-subclinical-keratoconus
#17
Sonja Kleinhans, Eva Herrmann, Thomas Kohnen, Jens Bühren
Background Iatrogenic keratectasia is one of the most dreaded complications of refractive surgery. In most cases, keratectasia develops after refractive surgery of eyes suffering from subclinical stages of keratoconus with few or no signs. Unfortunately, there has been no reliable procedure for the early detection of keratoconus. In this study, we used binary decision trees (recursive partitioning) to assess their suitability for discrimination between normal eyes and eyes with subclinical keratoconus. Patients and Methods The method of decision tree analysis was compared with discriminant analysis which has shown good results in previous studies...
August 15, 2017: Klinische Monatsblätter Für Augenheilkunde
https://www.readbyqxmd.com/read/28794659/erratum-traumatic-corneal-flap-displacement-after-laser-in-situ-keratomileusis-lasik-erratum
#18
(no author information available yet)
[This corrects the article on p. 143 in vol. 10, PMID: 28458585.].
2017: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/28780779/femtosecond-lasers-and-corneal-surgical-procedures
#19
Gustavo K Marino, Marcony R Santhiago, Steven E Wilson
Our purpose is to present a broad review about the principles, early history, evolution, applications, and complications of femtosecond lasers used in refractive and nonrefractive corneal surgical procedures. Femtosecond laser technology added not only safety, precision, and reproducibility to established corneal surgical procedures such as laser in situ keratomileusis (LASIK) and astigmatic keratotomy, but it also introduced new promising concepts such as the intrastromal lenticule procedures with refractive lenticule extraction (ReLEx)...
July 31, 2017: Asia-Pacific Journal of Ophthalmology
https://www.readbyqxmd.com/read/28777775/induced-de-novo-astigmatism-after-hyperopic-lasik-versus-myopic-lasik-surgery-in-nonastigmatic-eyes
#20
Lily Karmona, Michael Mimouni, Igor Vainer, Tzahi Sela, Gur Munzer, Igor Kaiserman
PURPOSE: To compare the astigmatism induced surgically (SIA) by spherical hyperopic laser in situ keratomileusis (H-LASIK) versus myopic laser in situ keratomileusis (M-LASIK) in nonastigmatic eyes. METHODS: A retrospective study of patients who underwent LASIK surgery between 2005 and 2014 at the Care-Vision Laser Center, Israel. We calculated the mean absolute SIA and performed risk factor analysis for induced astigmatism. Differences between H-LASIK and M-LASIK were analyzed...
September 2017: Cornea
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